Individual
JOANNA SEWALL MANUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
181 FRANKLIN HEALTH COMMONS, FARMINGTON, ME 04938
(801) 581-8419
Mailing address
106 FENDERSON HILL RD, WILTON, ME 04294-5716
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
MA055963
PA
363AS0400X
Surgical Physician Assistant
6742502-1206
UT
363AS0400X
Surgical Physician Assistant
Primary
PA2388
ME
Other
Enumeration date
01/28/2013
Last updated
09/08/2023
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